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It may even affect insulin levels

Duravulumab was approved by the FDA for treating advanced bladder cancer in May 2017, treating unresectable stage III non-small cell lung cancer in February 2018, treating advanced biliary tract cancer in September 2022, treating metastatic non-small cell lung cancer in November 2022, treating advanced or recurrent endometrial cancer in June 2024, and treating limited-stage small cell lung cancer in December 2024

It may reduce the absorption of oral medications by interacting with intestinal transporters, potentially affecting the bioavailability of drugs like metformin

Folate, vitamin B12, and homocysteine are major components of the single-carbon metabolic pathway [22], which is also responsible for regulating cell division and methyl production and epigenetic mechanisms [23]